1型心肾综合征中医证候临床规律研究

Clinical Study on TCM Syndromes of Type 1 Heart and Kidney Syndrome

目的:探讨1型心肾综合征中医证候临床分布规律,为临床辨证论治提供科学依据。方法:选取80例1型心肾综合征患者,收集患者的四诊资料、实验室及检查结果、中医辨证分型、原发病等信息,进行中医证候积分及统计分析。结果:80例1型心肾综合征患者中,气虚证有43例,气阴两虚证17例,阴虚证有8例,阳虚水泛证有7例,阴竭阳脱证有5例。其中,气虚证占53.75%,明显高于其他正虚证,差异有统计学意义(P<0.05)。80例1型心肾综合征患者中,瘀血证有36例,痰饮阻肺证22例,水湿证17例,湿热证5例。结论:1型心肾综合征中医临床亚型较多,临床治疗中应对患者进行辨证论治、个体化治疗。

Objective To explore the distribution law of TCM syndromes and provide scientific basis for clinical syndrome differentiation and treatment. Methods Selected 80 patients with type 1 CRS. Collect the patient＇s information, such as diagnostic data, examination results, TCM syndrome types of primary disease and statistical analysis of these informations. Results 80 patients, Qi deficiency syndrome in 43 cases, gas Yin deficiency syndrome in 17 cases, yin deficiency syndrome in 8 cases, Yang deficiency syndrome in 7 cases, yin and yang deficiency syndrome in 5 cases. Among them, qi deficiency syndrome was 53.75%, significantly higher than that of other syndrome types, the difference was statistically significant （ P 〈 0. 05 ）. 80 cases of type 1 CRS, blood stasis syndrome in 36 cases, lung phlegm retention resistance card 22 cases, water deficiency of 17 cases, hot and humid card in 5 cases. Conclusion Type 1 CRS has more subtypes of traditional Chinese medicine. In the clinical treatment, should be individualized treatment for the patient.